Spectrum of Morphologic Changes of Lymph Nodes in HIV Infection

Cervical lymph nodes biopsies from 31 HIV positive patients (with or without AIDS) were studied by histologic methods and immunohistochemistry (StreptABC staining of paraffin sections) to identify cellular and extracellular matrix components. The results were the following: (1) the biopsies were inc...

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Main Authors: DD Paiva, JC Morais, J Pilotto, V Veloso, F Duarte, HL Lenzi
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 1996-06-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761996000300023
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author DD Paiva
JC Morais
J Pilotto
V Veloso
F Duarte
HL Lenzi
author_facet DD Paiva
JC Morais
J Pilotto
V Veloso
F Duarte
HL Lenzi
author_sort DD Paiva
collection DOAJ
description Cervical lymph nodes biopsies from 31 HIV positive patients (with or without AIDS) were studied by histologic methods and immunohistochemistry (StreptABC staining of paraffin sections) to identify cellular and extracellular matrix components. The results were the following: (1) the biopsies were included in the stages of follicular hyperplasia without fragmentation FH-FF (4 cases); follicular hyperplasia with follicular fragmentation FH+FF (16 cases); follicular involution FI (6 cases) and diffuse pattern DP (5 cases); (2) the most important alteration was the germinal centers disruption due to follicle lysis, which began in the light zone; (3) there was coincidence between intrafollicular hemorrhages and segmental hyaline mycroangiopathy; (4) during the progression of the disease occurred: (a) an increase in the number of mast cells, CD68+ and Mac387+ macrophages; (b) a diffuse augment of collagen III, elastic fibers, laminin, fibronectin and proteoglycans; (c) maintenance of Factor VIII - related antigens in the vascular endothelial cells, with decrease in the expression of Ulex-Europeus I lectin. Follicular hyperplasia (FH-FF or FH+FF) was the most common histologic pattern recognized in the lymph nodes of patients without AIDS and follicular involution and difuse pattern were seen in those who had AIDS. The results indicate that the lymph node biopsies may provide important information about the evolutive stage of the disease and its prognosis.
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spelling doaj.art-aebffb9569444f8396cc59d16f4a9c302023-08-02T09:10:44ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80601996-06-0191337137910.1590/S0074-02761996000300023Spectrum of Morphologic Changes of Lymph Nodes in HIV InfectionDD PaivaJC MoraisJ PilottoV VelosoF DuarteHL LenziCervical lymph nodes biopsies from 31 HIV positive patients (with or without AIDS) were studied by histologic methods and immunohistochemistry (StreptABC staining of paraffin sections) to identify cellular and extracellular matrix components. The results were the following: (1) the biopsies were included in the stages of follicular hyperplasia without fragmentation FH-FF (4 cases); follicular hyperplasia with follicular fragmentation FH+FF (16 cases); follicular involution FI (6 cases) and diffuse pattern DP (5 cases); (2) the most important alteration was the germinal centers disruption due to follicle lysis, which began in the light zone; (3) there was coincidence between intrafollicular hemorrhages and segmental hyaline mycroangiopathy; (4) during the progression of the disease occurred: (a) an increase in the number of mast cells, CD68+ and Mac387+ macrophages; (b) a diffuse augment of collagen III, elastic fibers, laminin, fibronectin and proteoglycans; (c) maintenance of Factor VIII - related antigens in the vascular endothelial cells, with decrease in the expression of Ulex-Europeus I lectin. Follicular hyperplasia (FH-FF or FH+FF) was the most common histologic pattern recognized in the lymph nodes of patients without AIDS and follicular involution and difuse pattern were seen in those who had AIDS. The results indicate that the lymph node biopsies may provide important information about the evolutive stage of the disease and its prognosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761996000300023lymph nodeHIVAIDSextracellular matrixmast cellsmycroangiopathy
spellingShingle DD Paiva
JC Morais
J Pilotto
V Veloso
F Duarte
HL Lenzi
Spectrum of Morphologic Changes of Lymph Nodes in HIV Infection
Memorias do Instituto Oswaldo Cruz
lymph node
HIV
AIDS
extracellular matrix
mast cells
mycroangiopathy
title Spectrum of Morphologic Changes of Lymph Nodes in HIV Infection
title_full Spectrum of Morphologic Changes of Lymph Nodes in HIV Infection
title_fullStr Spectrum of Morphologic Changes of Lymph Nodes in HIV Infection
title_full_unstemmed Spectrum of Morphologic Changes of Lymph Nodes in HIV Infection
title_short Spectrum of Morphologic Changes of Lymph Nodes in HIV Infection
title_sort spectrum of morphologic changes of lymph nodes in hiv infection
topic lymph node
HIV
AIDS
extracellular matrix
mast cells
mycroangiopathy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761996000300023
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